213-1278 / Involving Patients in Patient Safety

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
Hospital Universitario de Getafe


Patient involvement
Patient surveys
Patient involvement
Education in Patient Safety
GOP Description
Implementation level
Clinical settings
Hospitalized patients from Hospital Univesitario de Getafe
•    To inform patients and caregivers about basic concepts regarding patient safety.
•    To have patients and caregivers play an active role in patient safety (patient empowerment).
•    Obtain information from patients and caregivers to improve patient safety.
All hospitalized patients, except pediatrics and psiquiatric patients.
1.- Develop a document (“Recommendations to improve patient safety”) aligned with the Regional Observatory of Health Risks of the Community of Madrid where the patient is informed about the most important aspects of their hospital stay as well as the active role they should play to prevent adverse effects during such stay.
2.- To design a survey in which five key questions are asked:
• Patient identity
• Medication
• Hand washing
• Care and treatment at discharge
• Sense of safety during hospitalization
In addition, there is an open question for any suggestions or comments.
The answers obtained are analyzed to know the perceived safety status of patients in the hospital and to improve safety measures (preventive).Patients are involved in the process of education on admission. Also, caregivers can participate. The Recommendations are presented by a nurse. Once the document is read, patients or caregivers fill in the form.
Timeframe implementation
The action is implanted in six months (document design, survey delivering). Survey results are analyzer every year and action is taken accordingly. This program allows trend analyses of results obtained.
Implementation tools available
Document of recommendations.

Survey form.

When surveys forms are completed, results are analyzed and improvement areas are suggested to the Management Risks Unity of our hospital to design the actions of improvement. Actions are implemented in the shortest time possible. In all cases, meetings are carried out with the responsible staff of each area. The staff participation is considered essential to increase the risk management culture in the hospital.

Implementation cost
Cost of implementation: Material costs include brochures, printed surveys: 100 €/year.
Personal costs mainly represents time spent by professionals in preparing meetings which can be included in their official working schedule.
Method used to measure the results
The informative brochures for hospitalized patients were delivered in the second semester of 2013. During 2014, the surveys were sent to 2187 patients who had been hospitalized the previous month. No reminder actions were taken.
The Items analyzed included: the reduction in number of claims related to patient safety and trend improvement in the subjective indicators regarding safety (survey replies).
21% of the patients answered the survey; data analysis was carried out by measuring the percentage of problems detected by the patients for each item.
•    Identification errors: 2%
•    Doubts with the delivery of medication during admission: 7%
•    Hand washing in health professionals was proven in 34% of cases. (36% of patients were not aware of this matter).
•    Doubts with treatment at home: 10%
•    Global satisfaction with patient safety in the hospital: 96%
In the free comment section, the main replies were: the need to clearly know the medication to be taken at home and thankyou notes.
Analysis of the results
We established two plans of improvement:
•    To review the discharge medical reports and document what parts of the treatment plan were poorly specified. Once reviewed, several training sessions were delivered to the medical staff making sure that the discharge report included the active ingredient as well as the generic name of the medication and the timing and duration of treatment.
•    Preventive Medicine Department carried out meetings with the health personnel about the correct hand washing and the appropriate moments to do it. Then, an observational study was carried out in november 2015 to check the adequate hand washing.
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
We did not detect barriers in the improvement of the discharge reportas.
We detected hand washing difficulties in the medical explorations, although all the rooms have alcoholic solution dispensers. Occasionally, hand washing is replaced by the use of gloves.
Describe the strategies used to overcome the barriers (If needed)
We will try to improve the use of alcoholic solutions with posters and information in the intranet of the hospital.
Other information
Other information about the GOP that you would like to add (Link or attached document)

201511301025398497_782_GOP_Recomendaciones seguridad del paciente.pdf